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Insights That Move Healthcare

Expert perspectives on revenue cycle, risk adjustment, compliance, and healthcare strategy – designed to help providers, plans, and leaders make smarter operational and financial decisions.

Risk Adjustment Solutions for 2027: Moving fr...

Risk adjustment solutions for Medicare Advantage organizations are entering 2027 under a confirmed payment environment and a set of operational changes that require adaptation before January 1. CMS's April 2026 Rate Announcement projects MA payments to increase by 2.48% – over $13 billion – in CY 2027, while CMS expects MA risk scores to increase by 2.50% on average due to underlying coding trends [1]

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May 18, 2021

Orthopedic Reimbursement Has Fallen. ...

Orthopedic trauma surgery reimbursements have been dropping. According to a study in the Journal of Orthopaedic Trauma, ...

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Market-based logistics efficiency
December 08, 2020

CMS Updates for Billing and Coding: Q...

We’re coming into the end of the year, which means now is a great time for healthcare leaders and medical billing and co...

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